NICOLE GABRIELLE CONNELLY ARNP
NPI 1063261824
Nurse Practitioner in Iowa City, IA

Q: What is Nicole Connelly's NPI number?

The NPI number for Nicole Connelly is 1063261824. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Q: What is Nicole Connelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Connelly was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 15, 2024PECOS EnrolledAccepts Medicare Assignment

201 S CLINTON ST STE 168, IOWA CITY, IA 52240(319) 384-0520(319) 384-0603 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2025, Jul 3, 2024, May 15, 2024 (3 updates tracked since 2024).

On this page

About Nicole Gabrielle Connelly Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE GABRIELLE CONNELLY ARNP (NPI 1063261824) is an individual nurse practitioner in Iowa City, Iowa, licensed in Iowa (A178509) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with University Of Iowa Hospital & Clinics, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1063261824

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNICOLE GABRIELLE CONNELLYCredential: ARNP

Location Address201 S CLINTON ST STE 168Iowa City, IA 52240-4034

Mailing Address200 Hawkins DrIowa City, IA 52242-1009

Phone(319) 384-0520

Fax(319) 384-0603

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 15, 2024

Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration

NPPES CertifiedDecember 5, 2025

✔ NPI 1063261824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IA · A178509

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

201 S CLINTON ST STE 168, Iowa City, IA 52240

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Secondary Practice Locations 9

Location 11632 Sycamore StIowa City, IA 52240-6044 · Phone (319) 384-8822 · Fax (319) 467-1002

Location 22591 Holiday RdCoralville, IA 52241-3039 · Phone (319) 467-7150 · Fax (319) 467-7140

Location 3411 10th St SE Ste 2300Cedar Rapids, IA 52403-2467 · Phone (319) 731-1430 · Fax (319) 356-3949

Location 4767 Mormon Trek BlvdIowa City, IA 52246-1812 · Phone (319) 384-8333 · Fax (319) 384-8171

Location 52705 E 53rd StDavenport, IA 52807-3008 · Phone (563) 362-3052 · Fax (563) 362-3059

Location 6865 Lincoln Rd Ste 400Bettendorf, IA 52722-4159 · Phone (563) 344-2240 · Fax (563) 362-3059

Location 7200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 384-6390 · Fax (319) 356-3949

Location 8720 Pacha Pkwy Ste 1North Liberty, IA 52317-4797 · Phone (319) 384-8822 · Fax (319) 384-8811

Location 93640 Middlebury RdIowa City, IA 52245-2712 · Phone (319) 467-6789 · Fax (319) 467-6600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Gabrielle Connelly Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709329345

PECOS Enrollment IDI20240624001846

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Connelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State University Of Iowa

Same address

Family Medicine

201 S CLINTON ST, ST 168
Iowa City, IA 52240

Reassigned Medicare billing, Iowa enrollment
2,190 clinicians in this Medicare group

NPI 1063693703 (319) 384-8877

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

51 services51 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

28 services28 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

23 services23 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

21 services21 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number160058

Location200 Hawkins DriveIowa City, IA 52242 · Johnson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY TALLEY

Nurse Practitioner (Family)